Table 1.
Prelininary and verifired diagnosis of LDTVD | Effect of TLE on severity of TR in pts with LDTVD impression of echocardioigraphist | ||||
Preliminary diagnosis of LDTVD | 125 | 4.90% | Insignificant | 73 | 61.34% |
Confirmed diagnosis of LDTVD | 119 | 4.44% | Perceptible | 33 | 27.73% |
All patients | 2678 | 100.00% | Significant | 13 | 10.92% |
Main/predominant Indications for lead extraction in patient with LDTVD | All LDTVD patients | 119 | 100.00% | ||
Symptomatic lead dependent TV dysfunction | 45 | 37.82% | |||
Lead damage/dysfunction (lead replacement) | 39 | 32.78% | Changes of degree of TR after TLE (degrees) | ||
Systemic infection or local or mixed infection | 21 | 17.65% | No change (the same) | 77 | 64.71% |
Upgrading, downgrading, prevention of lead abandonment | 11 | 9.24% | Reduction of TR for 1 degree | 38 | 31.93% |
Recapture venous access (symptomatic occlusion, lead replacement/upgrading) | 3 | 2.52% | Reduction of TR for 2 degrees | 4 | 3.36% |
All LDTVD patients | 119 | 100.00% | All LDTVD patients | 119 | 100.00% |
Mechanism of TV dysfunction (partial immobilisation of the leaf or irritation causing degeneration) | Average right ventricular lead dwell time | 104.57 | SD 69.8 | ||
Propping upward the leaflet by the lead | 45 | 37.82% | LDTVD and cardiac surgery after TLE | ||
Drawing down f the leaflet by the lead (immobilisation) | 57 | 47.90% | Indication reached—observation | 22 | 18.49% |
Impingement of the leaflet by the lead presence (irritation) | 3 | 2.52% | No indication—observation only | 74 | 62.19% |
Perforation of the leaflet with the lead | 3 | 2.52% | Referred for TV plastic | 18 | 15.13% |
Connection of lead with the lead with scar | 11 | 9.24% | Not considered (contraindication, lack of agreement) | 5 | 4.20% |
All LDTVD patients | 119 | 100.00% | ALL patients with LDTVD | 119 | 100.00% |
Abbreviations: LDTVD—lead dependent tricuspid valve dysfunction, TLE—transvenous lead extraction, TV—tricuspid valve, TR- tricuspid regurgitation.